More Related Content Similar to Asia HealthTech Investment Landscape FY2019 (20) More from Galen Growth (11) Asia HealthTech Investment Landscape FY20191. • Asia Pacific Insights
ASIA PAC
HEALTHTECH
INVESTMENT
LANDSCAPE
YEAR END 2019
2. ©2020 by Galen Growth Asia - All rights reserved.
OVERVIEW VERSION – NOT FOR SALE
JULIEN DE SALABERRY
CEO & Founder
Galen Growth
We are delighted to share with you this 2019 Year End Asia Pac HealthTech Landscape
Overview report, a subset of our comprehensive bi-annual go-to-reference for
ecosystem key trends and insights for investors, enterprises and startups.
Asia Pac HealthTech ecosystem momentum continues despite geopolitical and domestic
headwinds to close at US$5B invested, across 350 deals, well ahead of our forecast last
October. Accordingly, we estimate total global funding in 2019 to exceed US$15B.
Early stage and Series A deal activity shrinks yet further, whereas total Series B deal
value share continues to grow, grabbing 33% of total funding, raising questions on the
future quality of deal flow for Growth stage investors and the likely impact on Seed stage
ventures.
China slows with dollars to VC-backed ventures shrinking 37% in FY 2019 vs 2018. Are
investors being spooked by geo-political and domestic economy headwinds?
India’s momentum, after a significant dip in value and volume in Q1, accelerated to
make 2019 a record breaking year closing at US$723M, up 33% on 2018.
SE Asia investment also broke all previous records to close 2019 at $266M, up 2.25X vs
2018, reflecting its growing ecosystem maturity.
Our full FY2019 report spotlights both the Japan and S Korea ecosystems as these have
grown substantially this year, capturing $420M of funding, up 16% on 2018.
Industry and investor sentiment for HealthTech in Asia Pac remains strong. The majority
of corporate leaders continue to be concerned by their strategy whereas a rising
numbers of investors see deal flow access as challenging.
You can purchase the full and very comprehensive report on our Research section on
our website. It is powered by HealthTech Alpha, a Galen Growth solution, the most
advanced digital health analytics platform.
“
2
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WHO ARE WE
Galen Growth is the leading market intelligence, analytics and matchmaking firm in HealthTech, empowering Fortune
500 companies and institutional investors to fast track their growth strategies
The Galen Growth Asia DifferenceOur Mission
It is an external game! The most innovative companies use
platforms to gain access to different capabilities and
sources of data which they then use to build new business
models or develop new products and services.
We believe the fastest, most effective way to scale digital
health innovation to realise its full societal value is to be
the preferred innovation platform for investors,
corporations and startups to ensure effective engagement
with the vibrant ecosystem to re-invent healthcare.
Galen Growth is the only trusted expert dedicated to
digital health innovation across the entire value chain of
healthcare: from R&D to payments. We partner with
proven HealthTech ventures, leading Fortune 500 and
investors to empower them to execute winning strategies.
With our unmatched European and Asian coverage, we are
the only innovation platform capable of bridging the
ambitions of global headquarters and investor teams, to
enable near term tangible business results.
• Develop real time actionable insights and transparency to the fast
changing ecosystem
• Confidently construct bespoke partnerships for near term
business impact
• Fast track our clients’ timelines to achieve earlier business impact
• Retain ownership of their HealthTech strategy from design to
implementation
• Build stronger capabilities and sustainable organisational
knowledge
• Operate with data that is never out of date
• Mitigate risks and avoid hype
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4
OUR CORE FAST TRACK SOLUTIONS
NEXT GEN
SCOUTING
HEALTHTECH
ALPHA
INNOVATION
COUNCIL
Real time data, analysis and
news at your fingertips
The most advanced digital
health ecosystem analytics
platform in Asia Pac, preferred
by investors, enterprises and
startups, giving access to
actionable insights and unique
market intel on the thousands of
digital health ventures enabling
better decisions, based on real
time and accurate data
Empowering enterprise
innovation teams to win
A unique suite of solutions to
enable innovation leaders and
their teams to fast track the
design and execution of their
digital health strategies with
bespoke match-making, thought
leadership, proprietary research,
leadership briefings, HealthTech
Alpha and much more…
Scouting and profiling enabled
by advanced analytics and data
Leverage our analyst team and
technology to fast track the
analysis of hundreds of
thousands of data points, way
beyond financials, to pinpoint,
evaluate and prioritise best fit
ventures for your organisation’s
needs ahead of your peers
SCOUT | SELECT | PROFILE MONITOR | IDENTIFY | TRACK DESIGN | MOBILISE | BUILD
6. IN 2019,
ASIA PAC HEALTHTECH
TOTAL FUNDING DEPLOYED WAS
$5 BILLIONACROSS
351 DEALS
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$8.1 B
$6.8 B
$7.4 B
$5.0 B
USA
AsiaPac
CAGR 2014-2019
USA 13%
APAC 26%
China 19%
India 55%
SEA 41%
7
ASIA PAC VS USA
After recording its weakest quarter since 2016 in Q3, Asia Pac HealthTech regained momentum and recorded another
$1+B quarter in Q4 to close FY 2019 at $5B, well ahead of our forecast last October
Source: USA funding sourced from Rock Health
Note: Europe data is not currently available but estimated at approx. US$2B
Note: Funding in $M if not indicated differently
FY2018
FY2018
FY2019
$976
$4,200
$5,500
$7,400
$1,574
$3,455
$3,997
$5,066
$8,100
$6,895
Q1 Q2 Q3 Q4
United States 2019 Asia Pacific 2019
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• Full Year 2019 HealthTech funding closed at
$5B, down 27% vs 2018 and up 2% vs 2017
• The second half of 2019 saw a 15% dip in
deal activity than the first half with 190
deals
• Despite lower deal volume and value,
2019’s average deal size was $14.2M, up
12% vs 2018 and 51% vs 2017, reflecting a
maturing funding pipeline
• 2019 counted a total of 13 mega deals,
accounting for 38% of all funding, 4 less
than in 2018, down 27% vs 2018
• Exits (IPO & M&A) share accounted for
5.3%, up 28% vs 2018
8
ASIA PAC HEALTHTECH FUNDING HISTORY (2016 – 2019)
Cumulative Deal Volume by Quarter
Q1 Q2 Q3 Q4
2016 149 265 393 525
2017 115 258 381 512
2018 130 269 408 532
2019 100 190 276 351
Cumulative Deal Value by Quarter
$484
$1,907
$2,950
$3,596
$774
$1,601
$3,519
$4,902
$788
$3,663
$5,435
$6,895
$1,574
$3,455
$3,997
$5,066
Q1 Q2 Q3 Q4
2016 Investments ($M) 2017 Investments ($M)
2018 Investments ($M) 2019 Investments ($M)
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• After recording its weakest Q3 since 2016,
Q4 bounced back and closed ahead of the
$1B mark
• Q4 2019 continued its shrinking trend to
become the 5th consecutive decline in deal
volume closed across the region
• Deal count in Q4 2019 was down 43% vs
Q4 2018
• Despite this downward trend, average deal
size in Q4 2019 was $19.9M, up 25% YOY
• Cumulative deal value since 2016 exceeded
$20.2B
9
QOQ ASIA PACIFIC HEALTHTECH FUNDING HISTORY (2016 – 2019)
$475.12
$1,422.12
$1,037.53
$638.98
$773.82
$827.68
$1,917.34
$1,383.21
$787.67
$2,874.87
$1,772.16
$1,460.79
$1,573.85
$1,880.96
$542.19
$1,069.31
149
116
128
132
115
143
123
131 133
142 141
127
100
92
88
83
$ -
$ 20 0.0 0
$ 40 0.0 0
$ 60 0.0 0
$ 80 0.0 0
$ 1,0 00 .0 0
$ 1,2 00 .0 0
$ 1,4 00 .0 0
$ 1,6 00 .0 0
$ 1,8 00 .0 0
$ 2,0 00 .0 0
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
0
2 0
4 0
6 0
8 0
1 00
1 20
1 40
1 60
Investment in $M Deals
2016 2017 2018 2019
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64% 64%
52%
55%
50%
53%
51%
46%
48%
41%
34% 35%
33%
26%
41%
28%26%
18%
29%
24%
30% 29%
25% 24%
20%
31% 31%
30%
28%
27%
33% 29%
8%
9% 9%
11% 11%
12% 11%
15%
18%
13%
20%
17%
14%
19%
16%
26%
4%
5% 5%
3%
4%
5%
10%
6% 6%
10% 10%
12%
8%
6%
0% 1% 2% 2%
3%
0%
3%
5%
2%
4% 4%
2%
4%
9%
0%
7%
1%
3% 3%
6%
2% 2%
6%
2% 2%
4% 4%
7%
10%
6%
2%
4%
Q1
2016
Q2
2016
Q3
2016
Q4
2016
Q1
2017
Q2
2017
Q3
2017
Q4
2017
Q1
2018
Q2
2018
Q3
2018
Q4
2018
Q1
2019
Q2
2019
Q3
2019
Q4
2019
Early Series A Series B Series C Series D & Beyond Exit
• Quick Facts on Q4 2019 deal volume share:
• 28% at Early stage, down 32% vs Q3 2019 and
down 20% vs Q4 2018
• 61% at Growth stage, up 7% vs Q3 2019 and
up 7% vs Q4 2018
• 7% at Late stage, vs no Late stage investment
in Q3 2019 and up 3.4x Q4 2018
• Exits include 1 M&A and 2 IPOs in H2 2019,
totaling 12 M&As and 6 IPOs in 2019, down
from 17 M&As and 5 IPOs in FY 2018
• Early Stage funding volume continued to
decrease recording a 32% share in 2019 vs
40% in 2018
• Growth Stage investments continued to be
driven largely by Series A and B investments,
accounting for more than 57% of all deals in
2019, up 6% vs 2018
• Series D events became more evident, closing
a total of 16 in 2019, up from 14 in 2018
10
QOQ ASIA PACIFIC HEALTHTECH DEAL VOLUME SHARE BY STAGE (2016-2019)
Note: Deals data exclude unspecific funding stage, Exits include M&A, IPOs and Post-IPO rounds
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$0
$250
$500
$750
$1,000
$1,250
$1,500
$1,750
Early
SeriesA
SeriesB
SeriesC
SeriesD
SeriesE
Exit
TotalFundingperStage($M)
2016 2017 2018 2019
• Total Early stage deal volume in 2019
dipped 47% while the total funding value
shrunk significantly to a total of $70M,
representing a 65% decline compared to
2018
• Growth stage deals captured 66% of total
funding in 2019, up 22% by value share
compared to 2018
• YOY total Growth stage deal value deployed
in 2019 dipped 12%:
• Total volume and value of Series A deals
decreased by 47% and 18%, respectively
• Series B deals closed at $1.63B, higher than
in 2018 and claimed 33% of all deals, up
41% vs 2018
• Late stage deal value share remains
unchanged at 20%, on par vs 2018
11
ASIA PAC HEALTHTECH FUNDING BY STAGE SINCE 2016
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No change:
• 48% of all startups in Asia Pac are at Early
Stage (angels, seed or pre-A funding)
• 24% of HealthTech startups are at Series A
funding stage
Upward trend:
• Series B and C startups up 1%, respectively
Downward trend:
• In 2019, mega rounds represented 39% of
the total funding invested, down from 52%
in 2018
• 2019 recorded a total of 18 exits (IPO,
M&A) vs 22 in 2018
12
ASIA PAC HEALTHTECH PIPELINE 2019
The Asia Pac investment funnel stage volume load analysis continues to demonstrate a healthy pipeline of innovation
with over 70% of startups at Early and Series A stages whilst later stage deals continue to track steadily upwards
(±0%) (±0%) (+1%) (+1%) (-1%) (±0%)
Note: Figures in brackets represent movement vs the ecosystem funnel load in H2 2018
H2 2018
H2 2019
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13
2019 HEALTHTECH ECOSYSTEM LEADERBOARD
China total
funding is
4.8x India
and
2.3x the top 7
Rank
3
4
1
8
2
5
6
7
+/-
2018
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Online Marketplace Medical Diagnostics Health Management Solutions
Population Health Management
Research Wellness
Mirroring Full Year 2018, category attractiveness by deal value remains unchanged but it should be noted that
Research, Medical Diagnostics and Health Management Solutions are trending upwards
14
HEALTHTECH MOST FUNDED CATEGORIES BY VALUE
$819M $801M $597M
$453M
$482M
Largest Investment:
Tencent Doctorwork
(企鹅医生)
$250M (Series B)
Largest Investment:
JD Health (京东健康)
$142M (Strategic)
Largest Investment:
Ali Health (阿里健康)
$110M (Series D)
Largest Investment:
Medbanks (思派网络)
$144M (Series D)
$388M
Largest Investment:
Huami (华米科技)
$110M (IPO)
Largest Investment:
Burning Rock Dx (燃石医学)
$124M (Series C)
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Medical Diagnostics Health Management Solutions Patient Solutions
Wellness
Telemedicine Online Marketplace
Category attractiveness, defined by deal volume, reveals Medical Diagnostics moving into pole with both Patient
Solutions and Telemedicine stepping up into the top 5 in 2019
15
HEALTHTECH CATEGORY SHARE BY DEAL VOLUME
60 Deals 43 Deals 39 Deals 27 Deals33 Deals
28 Deals
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Oncology CV Diabetes Mental Health Neurology
Deals 63 65 78 37 Deals 22 19 31 28 Deals 20 21 31 19 Deals 27 30 26 16 Deals 15 14 15 13
16
MOST ATTRACTIVE THERAPEUTIC FOCUS AREAS BY VOLUME
New to this bi-annual report, we consider therapeutic area attractiveness, which when defined by deal volume,
highlights that Oncology is a key focus, receiving more of the later stage funding than other disease areas
Early-Stage Series A Series B Series C Series D & Beyond
0%
20%
40%
60%
80%
100%
2016
2017
2018
2019
0%
20%
40%
60%
80%
100%
2016
2017
2018
2019
0%
20%
40%
60%
80%
100%
2016
2017
2018
2019
0%
20%
40%
60%
80%
100%
2016
2017
2018
2019
0%
20%
40%
60%
80%
100%
2016
2017
2018
2019
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Investor Country 2019 HealthTech Deals
Total Number of
HealthTech Deals since
2012
Latest Participated
Investment
Amount Raised
China 9 42 AllinMD (唯医骨科) $100 M (Series B)
China 9 30 Yaoyanshe (药研社) $42.1 M (Series C)
China 6 32 Weimai (微脉) $100.0 M (Series C)
Japan 6 9 Lily MedTech $8.6 M (Series B)
China 5 9 Shuidi (水滴互助) $142.0 M (Series C)
China 5 20
Changmu Medical (长木
谷)
Undisclosed (Pre-A)
China 5 65
Yaeher Healthcare (怡禾
健康)
$5.6 M (Series A)
Japan 5 12 T-ICU $1.3 M (Series A)
Despite the ongoing dip in venture capital activities in HealthTech in China, the most active investors remain those
those on the Mainland
17
2019 ASIA PAC MOST ACTIVE INVESTORS
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IMPORTANT INFORMATION
19
HealthTech defines the intersection between healthcare and technology
and is also sometimes referred to as digital health. We recommend
reviewing our taxonomy on slide 74 for further details.
HealthTech does not include Biotech, such as protein research or
pharmaceuticals, and also does not include MedDev, such as devices that
are implanted into the body.
What information do we track
Galen Growth tracks a comprehensive inventory of key data points
ranging from company demographics, funding and valuation to in-
market capabilities on a continuously growing and curated list of
HealthTech ventures drawn from all markets in Asia Pacific. We
recommend reviewing our venture spotlights for further insights.
Where do we source our information
Galen Growth collates its data from primary research, public domain sources (press
releases and news), proprietary analytics and from its unique network. The
information is:
• Both disclosed and undisclosed by nature
• Continuously updated with the latest data
• Curated from both direct and indirect verified sources
• Augmented with our proprietary algorithms
Important Information
This report is provided for informational purposes only and was prepared in good
faith on the basis of public information available at the time of publication without
independent verification.
Galen Growth does not guarantee or warrant the reliability or completeness of the
data nor its usefulness in achieving any particular purposes. Numbers will be
updated from to time to reflect information identified after the event.
Galen Growth shall not be liable for any loss, damage, cost or expense incurred by
reason of any persons use or reliance on this report.
This report is a proprietary aggregation of publicly available and undisclosed data
and shall not be forwarded or reproduced without the prior written consent of
Galen Growth.
Key Terms / Definitions
Each HealthTech Alpha Index and Score is calculated using proprietary algorithms
and data points drawn from our carefully curated HealthTech Alpha database.
• The report’s base currency is USD
• Early stage includes all deals up to & including Pre-A stage
• Growth stage includes all deals at Series A, B & C stage
• Late stage includes all deals at Series D & beyond stage
• Exits include all IPO and M&A deals
What we define as HealthTech
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Our analysis of HealthTech
investments tracks activities across
23 distinct markets in Asia Pacific.
Due to lack of data, not every
market is featured in this report.
We are continuously monitoring
markets that are not listed here.
FRONTIER MARKET
1) Bangladesh
2) Bhutan
3) Cambodia
4) Laos
5) Myanmar
6) Nepal
7) Pakistan
DEVELOPING MARKET
1) China
2) India
3) Indonesia
4) Malaysia
5) Philippines
6) Sri Lanka
7) Thailand
8) Vietnam
MATURE MARKET
1) Australia
2) Brunei
3) Hong Kong
4) Japan
5) New Zealand
6) Singapore
7) South Korea
8) Taiwan
OUR ASIA PAC MARKET COVERAGE
21
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HEALTHTECH ALPHA COMPARISON
22
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Health Services Search ResearchHealth Management
Solutions
Medical EducationTelemedicine
Online Marketplace
Wellness
Medical Diagnostics
Patient Solutions Remote MonitoringOnline Health Communities
Health InsurTech VeterinarianPopulation Health
Management
• Medical Concierge
• Medical Tourism
• Drug Discovery
• Next Generation Sequencing
• Genomics Related Research
• Clinical Trials
• EHR / EMR
• Physician / Clinic
• Hospital
• Pharmacy
• HCP Education
• Health Information Platform
• Consumer Education
• Teleconsultation
• Consumer Marketplace
• Professional Marketplace
• On-demand Lab Tests
• Wellness Apps
• Wearables
• Smart Equipment
• Wellness Information Platform
• Genomics Related Applications
• Medical Imaging
• Diagnosis Tools
• Liquid Biopsy
• Digital Therapeutics
• Patient Self-Diagnosis
• Disease Management
• Home Healthcare
• Devices
• Patient Health Forums
• Physician Networks
• Other HCP Networks
• Health Claim Management
• Medical Payments
• Health Forums• Corporate Health
• Integrated Solutions
Others
• Social Enterprise
• HCP Job Board
• Software Provider
• Contamination Management
OUR HEALTHTECH TAXONOMY
23
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The HealthTech Alpha Venture Maturity assessment
is a set of composite indices based on our
proprietary algorithms which leverage and analyse
multiple data points and calculates these unique
indices for each venture.
There are four distinct and independent Alpha
Indices which are computed into one final Alpha
Score as follows:
• Momentum index: Evaluates the maturity and
performance of the HealthTech venture
relative to itself and ecosystem peers
• Market index: Measures the health of the
sector category and sub-category in which a
startup competes
• Money index: Quantifies the financial strength
and wellbeing of a HealthTech startup based
on its financial history, and investor quality
• Impact index: Assesses the relevance of an
HealthTech venture to the ecosystem
• The Alpha Score or Maturity Index: The
composite score based on the four Alpha
indices which enables a comparison ranking
and provides a 3D assessment of each venture
HEALTHTECH ALPHA VENTURE MATURITY ASSESSMENT
24
Alpha Score Calculation Flow
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Overview Funding Events Competitors
Comparables Relationships Dashboard
The HealthTech Alpha workflow is best-in-class for on demand access to the latest market intel, active monitoring of
portfolios and to pinpoint unique opportunities ahead of the market
ABOUT HEALTHTECH ALPHA
25
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FEATURED IN
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Bloomberg
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